
Located in Nairobi, Kenya, Nyumbani Children’s Home has been a beacon of hope for children like two-year-old Evans, who arrived at the orphanage a year ago battling HIV and tuberculosis. The home, supported by the US Agency for International Development (USAID), provides life-saving antiretroviral medication to Evans and around 100 other children.
However, recent political decisions made by US President Donald Trump have put the future of these children in jeopardy. Trump's executive order to freeze USAID funding has cast a shadow of uncertainty over Nyumbani's access to essential antiretroviral drugs, which are crucial in managing HIV.
PEPFAR, the US President’s Emergency Plan for AIDS Relief, has been instrumental in providing humanitarian aid to combat HIV in Kenya, with USAID playing a significant role in funding these efforts. Over the years, USAID has donated more than $16 million to Nyumbani, enabling the home to reach thousands of children through various programs.
Despite facing challenges, including allegations of sexual abuse that led to the discontinuation of direct funding from USAID, Nyumbani has continued its mission of caring for vulnerable children. However, the recent freeze on USAID funding has raised concerns about the sustainability of HIV treatment for children like Mercy, who rely on the medication to stay healthy.

With the Kenyan government announcing limited stocks of ARVs, the future looks uncertain for children dependent on PEPFAR for medical care. The potential discontinuation of funding could lead to dire consequences, with children facing the risk of relapse and even death.
Nyumbani's Executive Director, Judith Wamboye, emphasized the urgent need for action to ensure the continuity of HIV treatment for these children. The looming threat of increased costs for ARVs poses a significant challenge, potentially making the medication unaffordable for the home.
As the children at Nyumbani Children’s Home face an uncertain future, the global community is called upon to address the critical issue of funding for HIV treatment in Kenya. The lives of these vulnerable children hang in the balance, underscoring the importance of swift and decisive action to safeguard their health and well-being.